Case Report
Copyright ©2013 Baishideng Publishing Group Co.
World J Gastroenterol. Feb 14, 2013; 19(6): 964-967
Published online Feb 14, 2013. doi: 10.3748/wjg.v19.i6.964
Figure 1
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Figure 1 Computed tomography scan and computed tomography angiography images. A: Intrahepatic bile duct expansion and left lobe liver necrosis on post-operative day (POD) 19; B: A low-density cyst (6.1 cm × 13 cm) and a filling defect (2.1 cm × 1.9 cm) at portal area on POD 48; C: Computed tomography (CT) scan and CT angiography on POD 118 showed a smaller low-density cyst (5 cm × 10 cm) and a same-sized filling defect (2.1 cm × 1.9 cm) at portal area on POD 118 compared with earlier findings.
Figure 2
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Figure 2 Blood routine test results after ABO-incompatibleliver transplantation. Due to treatment with tacrolimus and methylprednisolone, the number of lymphocyte stayed stable before and after the occurrence of severe hepatic necrosis, while the total number of white blood cell counts was mainly affected by neutrophil changes, which might be induced by non-specific reasons, e.g., phagocytose and absorption of necrotic tissues. LTx: Liver transplantation; POD: Post-operative day; HN: Hepatic necrosis; WBC: White blood cell; L: Lymphocyte; N: Neutrophil.
Figure 3
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Figure 3 Total bilirubin and creatine, liver function, prothrombin time and international normalized ratio changes after liver transplantation. A: Total bilirubin (TBIL) and creatine (Cr) levels elevated after graft implantation and then decreased in 2 wk. Severe hepatic necrosis resulted in a slight rise, which was reversed by methylprednisolone(MP) pulse therapy; B:Serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) dropped significantly within 5 d after liver transplantation (LTx), and then remained in a low level till post-operative day (POD) 16. Severe hepatic necrosis led to a sharp increase of both ALT and AST which were under control after 4-d intravenous drip of 500 mg MP. Dosage of MP was reduced gradually to 40 mg on POD 25; C: Prothrombin time (PT) and international normalized ratio (INR) changes after LTx. Coagulation function became normal within 5 d. HN: Hepatic necrosis.